Provider Demographics
NPI:1265665228
Name:SHAH, SACHIN K (MD)
Entity type:Individual
Prefix:
First Name:SACHIN
Middle Name:K
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1527 ROUTE 27
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-234-9750
Mailing Address - Fax:732-209-8010
Practice Address - Street 1:1527 ROUTE 27
Practice Address - Street 2:SUITE 2800
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-234-9750
Practice Address - Fax:732-209-8010
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09402000207L00000X, 208VP0014X
NY263363207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0408981Medicaid
NJ357812YAABMedicare PIN
NJ357812CNKMedicare PIN